Rafael a. Avila M.D. P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

K5785 Issued in TX

Legal business name

RAFAEL A. AVILA M.D. P.A.

Doing business as

Avila Plastic Surgery

Practice address

1022 E Griffin Pkwy
Suite 110
Mission, TX 78572-2400

Phone

(956) 519-1332

Fax

(956) 519-3515

NPI assigned

May 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Azalia M Avila

Title

Office Manager

Phone

(956) 519-1332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avila Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael A Avila, M.D.

  • Plastic Surgery Physician
  • Mission, TX
  • NPI 1134176837
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1407063175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY",
            "address_2": "STE 110",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722400",
            "telephone_number": "956-519-1332",
            "fax_number": "956-519-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY",
            "address_2": "SUITE 110",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722400",
            "telephone_number": "956-519-1332",
            "fax_number": "956-519-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL A. AVILA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "AZALIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-519-1332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K5785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089960102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avila Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nubia Quintanilla
• R. Sergio Ramirez M.D., P.a.
• R. Sergio Ramirez, M.D., P.a.
• R. Sergio Ramirez, M.D., P.a.
• R. Sergio Ramirez, M.D., P.a.
• Rafael Garza M.D.P.a.
• Rafael Rafols MD PA
• Raja N Salameh M D P a
• Ramflo Holdings LLC
• Alexis Nicole Ramirez

• Medical Specialty Clinic/Center in Mission, TX
• Providers in Mission, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.